Nadia Ibrahim El Khatib, PHARMD

Individual provider Active NPI Pharmacist · Grosse Ile, MI

NPI 1841998549 · NPPES record last updated Feb 21, 2023

Key facts

NPI
1841998549
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302041468 (MI)
Practice address
8900 Macomb St
Grosse Ile, MI 48138-1577
Phone
(734) 676-6000
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302041468MIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302041468 MI Yes

Addresses

Primary practice location

8900 Macomb St
Grosse Ile, MI 48138-1577

Mailing address

8900 Macomb St
Grosse Ile, MI 48138-1577
Phone (419) 386-9674

Other providers in Grosse Ile, MI

All providers in Grosse Ile, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.